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Acknowledgments We are thankful for the time and effort put forth by all study volunteers during both phases of the study

Notably, the administration of GLP-1 RA resulted in an elevated Firmicutes/Bacteroidetes ratio and an increase in Prevotella , species that have been linked to lower inflammation (70)

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That means they are not manufactured for human use, are not subject to pharmaceutical compounding standards, and have no provider oversight behind them

Even after 12 months post-injury or surgical intervention, the tissue still lacks the biomechanical and ultrastructural characteristics it had prior to the injury (Fox et al